Organization
CROWNPOINT HEALTH CARE PHARMACY
Active
Other names
CROWNPOINT HEALTH CARE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES CUMMINGS PHARMD (PHARMACY PROGRAM SPECIALIST)
(405) 951-6086
Entity
Organization
Contact information
Practice address
HWY JCT 57 RT 9, CROWNPOINT, NM 87313-0358
(505) 786-6344
(505) 786-6440
Mailing address
PHARMACY DEPT, PO BOX 358, CROWNPOINT, NM 87313-0358
Taxonomy
Speciality
Code
Description
License number
State
332800000X
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Primary
NM5099
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3210262
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
H8906
—
NM
Enumeration date
03/06/2007
Last updated
03/05/2013
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